| NPI | 1396101093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: VA 0810007533) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS019505) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2023-08-03 |